Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Kelly S. Wray, LADCCANDIDATE

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1013291525

Mr. Kelly S. Wray, LADCCANDIDATE is a Mental Health Counselor in Norman, Oklahoma. Qualified in 2022, 4 years ago. Practices with Absentee Shawnee Tribal Health Authority, Inc, a 84-clinician group, works from 3 locations and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2011
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Practice location Address checks out

15951 Little Axe Dr
Norman, OK 73026-9088
Phone: (405) 447-0300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 15702 E State Highway 9, Norman, OK 73026-9028 — (405) 447-0300
  • 2029 Gordon Cooper Dr, Shawnee, OK 74801-9005 — (405) 878-5850

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1013291525
Entity typeIndividual (Type 1)
GenderMale
Credentials LADCCANDIDATE
Sole proprietorNo
NPI enumeratedOctober 3, 2011
Last updated in NPPESMarch 25, 2026
Certification dateMarch 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Absentee Shawnee Tribal Health Authority, Inc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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